NPIMap

Individual provider Active NPI

Karen E. Leitzel, M.D.

  • Family Medicine Physician
  • Crown Point, IN
National Provider Identifier
1528090800
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01049212A Issued in IN
Practice address
1201 S Main St
Attn: ER Dept
Crown Point, IN 46307-8481
Phone
(219) 757-3218
Fax
(219) 757-6882
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01049212A IN Primary

Addresses

Primary practice location

1201 S Main St
Attn: ER Dept
Crown Point, IN 46307-8481

Mailing address

1040 Sierra Dr
Suite 400
Greenwood, IN 46143-7241
Phone (317) 528-4284

Other identifiers 2

IdentifierTypeStateIssuer
000000722403OtherINANTHEM TRADITIONAL
200194340MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070302000325 IN Practitioner - Family Practice 3577665991 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Chicago, Pritzker School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthlinc IncGroup PAC ID 7618929373, 83 clinicians

Practice addresses (Care Compare)

400 Teegarden St
La Porte, IN 46350-3175
Phone (219) 326-0043

Hospital & facility affiliations

  • Northwest Health-la Porte Hospital, La Porte, IN, CCN 150006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Healthlinc, Inc CurrentSince Nov 1, 2024 Accepting new patients
Community Care Network Inc Family Medicine CurrentSince Apr 1, 2014 Accepting new patients
Healthlinc, Inc. Current Accepting new patients
Healthlinc, Inc CurrentSince Nov 1, 2024 Accepting new patients
The Methodist Hospitals, Inc Past Accepting new patients

Locations

4321 Fir St
East Chicago, IN 46312
Phone (219) 392-1700

400 Teegarden St
Laporte, IN 46350
Phone (219) 326-0043

10240 Calumet Ave
Munster, IN 46321
Phone (219) 440-5286

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

3800 Saint Mary Rd
Ste 102
Valparaiso, IN 46383
Phone (219) 286-3707

1001 Sturdy Rd
Valparaiso, IN 46383
Phone (219) 462-7173

2401 Valley Dr
Valparaiso, IN 46383
Phone (219) 413-5100

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 17

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367366400000",
    "number": "1528090800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 SIERRA DR",
            "address_2": "SUITE 400",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461437241",
            "telephone_number": "317-528-4284",
            "fax_number": "317-865-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S MAIN ST",
            "address_2": "ATTN: ER DEPT",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463078481",
            "telephone_number": "219-757-3218",
            "fax_number": "219-757-6882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEITZEL",
        "first_name": "KAREN",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2013-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01049212A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM TRADITIONAL",
            "identifier": "000000722403",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200194340",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

Verify at the official NPI Registry.